orgasms after non-nerve sparing prostatectomy

Hi All,

I'm new to this forum. My partner is 69 and will be having the Da Vinci surgery in 2 weeks to remove his prostate and the erectile nerves. Although CT and bone scans show no spreading of the cancer outside the prostate, the Kaiser surgeon says he has to remove the erectile nerves because of the high Gleason score. So my question is: Can a man still have feeling in his penis after those nerves are removed, and can he still get orgasms? I read that he can, in the case of nerve sparing surgery, but does anyone have any experience in the case of non-nerve sparing surgery?
Thank you,

Dreyskii

Orgasms may be preserved in many men. In the study below, about half the men who had non-nerve sparing were able to reach orgasm - but that was less in older men. Orgasm quality may be impacted too. about a 13% chance of preserved erectile function with non-nerve sparing. Other sexual SEs may include penile shrinkage, climacturia, Peyronie's, and painful orgasms. What are his stats and why did he choose surgery?

www.jsm.jsexmed.org/article/S1743-6095(15)32920-9/abstract
onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2004.05009.x/abstract

Hello drey and welcome. Your orgasm question has been answered. As you will note, the previous posters also questioned the choice of treatment for a 69 year old man with "high Gleason". I will join them in asking if you also considered other options, particularly radiation with or without ADT. If you will give us more info re his stats perhaps we can help more.

Jim

I had my prostate removed almost 10 years ago with robotic surgery, and from the day the catheter was removed, I was getting rock solid erections without any viagra, and to this day, I still get them, and I am now 65. With respect to orgasms, they are very different now, but in my case, I think they are much better now.

Before I had my prostate surgery, when I had an orgasm, I would have an orgasm and ejaculate with maybe 2 or 3 pulses of pleasure, and with nothing more then a dribble of semen.

Today, without my prostate, when I have an orgasm, YES I still ejaculate, but now it is with urine and much more plaesurable. If my bladder is full when I have my orgasm, I can ejaculate urine across the room like a fire hose with 4 or 5 pluses , and with much MORE pleasure now, then I ever felt when I had my prostate. It is really incredible how much more pleasure I feel now.

Now I know everyone is thinking "Oh how gross, you ejaculate urine, this is nasty and gross" Well that's exactly what I felt also after my surgery, but when I talked with my uro, she told me that urine is 100% sterile and it is not uncommon for men to ejaculate urine after prostate surgery. This is a little known side effect that no ones tells you about.

My uro told me and my wife that if you ejaculate urine inside your partner's vagina , it can't hurt her because there is no bacteria in urine because it is 100% sterile. Also she told us that before having sex, if this bothers you a lot, just void your bladder, and try drinking a lot of water a few hours before sex to dilute any urine you do ejaculate so there is no odor.

At first my wife was grossed out by this and very apprehensive , but when she saw how much more pleasure I had when I ejaculated urine, now she has no problem and finds it rather sensual.

To add some realism , I found that if I add white food coloring to the water that I drink before having sex, when I do ejaculate , my urine comes out almost pure white which gives the appearance of real semen.

Overall, orgasms for me after my surgery are better now then before.

Post Edited (NY-Sooner) : 3/10/2017 12:20:32 PM (GMT-7)

NY-Sooner said...
This is a little known side effect that no ones tells you about.

I learn something new, every time I read through peoples posts around here-

NY-Sooner said...
At first my wife was grossed out by this and very apprehensive , but when she saw how much more pleasure I had when I ejaculated urine, now she has no problem and finds it rather sensual.

Took about 3 months before I had something useable and then urine for a month or so after that. It did feel similar to pre-surgery ejaculation but my wife was never a fan. Luckily it resolved on it's own by completely voiding my bladder. Unfortunately she is still a little "gun shy" to participate in activities that might leave a sour taste in her mouth if I leak a bit of urine at the wrong time.

NY sooner...your info on the sterility is spot on...it don't take much to change that once its in the air t ho hence the urine smell....they all know about golden showers here...whose kidding who?? May i say your sharing was...refreshing???....ooh...ahh...well...I never...clip clop...clip clop...clip clop...harumph...

See what I mean about standup comic...I could do it...any couch in the land...even ya know...da one of late......shows that is....

I came on this thread with its tangent on urine during orgasm while looking for a thread that might shed some light on an odd side-effect I am still experiencing 6 years after my davinci prostatectomy. The surgery was nerve-sparing but there was clearly some damage–- bruising if not outright severing of some nerves. The side-effect is that my urinary and sexual responses sometimes get crossed up.

I am 68 and through much patient "homework", as my urologist called it, with a loving and motivated spouse, we have continued to have sex at least 2-3 times/week. I can still have erections w/o viagra or cialis, but find they are much more dependable and robust with them. I don't experience orgasm as frequently as before, but they can be as intense and often more prolonged. And my wife doesn't miss the semen.

The only time anymore that I experience minor incontinence, is in response to sexual stimulus. Not really during foreplay or intercourse, but something like a really good kiss in the kitchen. Where previously that would have prompted the start of an erection, more often now it produces a small squirt of urine.

Conversely, nighttime spontaneous erections seem most often to be concurrent with a full bladder.

Ring a bell with anyone? Or has anyone seen a thread that is more specifically related?
Thanks